| Blue Ridge Behavioral Healthcare | |
|
301 Elm Ave Sw Roanoke VA 24016-4001 | |
| (540) 345-9841 | |
| (540) 527-2900 |
| Full Name | Blue Ridge Behavioral Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Elm Ave Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Cynthia J. Vaught (REIMBURSEMENT MANAGER) |
| Authorized Official Contact | 5403459841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Behavioral Healthcare 301 Elm Ave Sw Roanoke VA 24016-4001 Ph: (540) 345-9841 | Blue Ridge Behavioral Healthcare 301 Elm Ave Sw Roanoke VA 24016-4001 Ph: (540) 345-9841 |
| NPI Number | 1437137734 |
|---|---|
| Provider Enumeration Date | 01/06/2006 |
| Last Update Date | 01/12/2015 |
| Medicare PECOS PAC ID | 6709831522 |
|---|---|
| Medicare Enrollment ID | O20050315000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437137734 | NPI | - | NPPES |
| 004945263 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth A Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972507721 PECOS PAC ID: 6901708601 Enrollment ID: I20040123000037 |
| Provider Name | Nicholas T Mcclean-rice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750382776 PECOS PAC ID: 7911913181 Enrollment ID: I20060224000392 |
| Provider Name | Barbara D Fulcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265530745 PECOS PAC ID: 6406855725 Enrollment ID: I20061215000011 |
| Provider Name | Fahim Fahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033183801 PECOS PAC ID: 2668574237 Enrollment ID: I20070228000331 |
| Provider Name | Justin B White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922268333 PECOS PAC ID: 9133273386 Enrollment ID: I20090821000565 |
| Provider Name | William Samuel Rea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154303618 PECOS PAC ID: 9638219363 Enrollment ID: I20091210000506 |
| Provider Name | Leslie Elaine Torbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033283593 PECOS PAC ID: 6002821006 Enrollment ID: I20111010000219 |
| Provider Name | Saira Arif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215196324 PECOS PAC ID: 0345416558 Enrollment ID: I20120110000004 |
| Provider Name | Sarah E Hazelwood |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1245403229 PECOS PAC ID: 4688820376 Enrollment ID: I20120813000348 |
| Provider Name | Johna M Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730449224 PECOS PAC ID: 5890940829 Enrollment ID: I20130225000093 |
| Provider Name | Jagdeep S Wander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851527592 PECOS PAC ID: 7719132687 Enrollment ID: I20130226000054 |
| Provider Name | Christian Demoine Neal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790816569 PECOS PAC ID: 8921295528 Enrollment ID: I20131120000902 |
| Provider Name | Michael P Greenage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750589917 PECOS PAC ID: 9234307562 Enrollment ID: I20131231001215 |
| Provider Name | Jessica L Jeffrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235367889 PECOS PAC ID: 2365685666 Enrollment ID: I20150108001968 |
| Provider Name | Riaz Uddin Riaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427011295 PECOS PAC ID: 6800899899 Enrollment ID: I20150331002901 |
| Provider Name | Luzangela Rojas-mogollon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730327008 PECOS PAC ID: 6406090372 Enrollment ID: I20150629000586 |
| Provider Name | Malak W Iskandar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841581295 PECOS PAC ID: 9436465473 Enrollment ID: I20150905000015 |
| Provider Name | Jennifer C Wells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902064157 PECOS PAC ID: 2769626027 Enrollment ID: I20150911000168 |
| Provider Name | Suman Narasimhamurthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174789366 PECOS PAC ID: 1951455096 Enrollment ID: I20150929002307 |
| Provider Name | Natalie W Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255562518 PECOS PAC ID: 7012218811 Enrollment ID: I20151221002180 |
| Provider Name | Mary Mowbray Flanary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144597717 PECOS PAC ID: 6608170493 Enrollment ID: I20160216000397 |
| Provider Name | Shannon P Cain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922467745 PECOS PAC ID: 8325337348 Enrollment ID: I20160516000456 |
| Provider Name | Katherine J Rash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518223916 PECOS PAC ID: 8325333883 Enrollment ID: I20160823000705 |
| Provider Name | Cynthia J Withrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689995177 PECOS PAC ID: 7012204944 Enrollment ID: I20160921000706 |
| Provider Name | Heather M Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720532062 PECOS PAC ID: 9234411398 Enrollment ID: I20170125000769 |
| Provider Name | Wallisa T Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992990238 PECOS PAC ID: 7618021502 Enrollment ID: I20170918002301 |
| Provider Name | Jennifer L Mettlen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437352036 PECOS PAC ID: 6709036890 Enrollment ID: I20180201000476 |
| Provider Name | Dianna L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591696 PECOS PAC ID: 8527328954 Enrollment ID: I20180205000708 |
| Provider Name | Stacey Todd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396259461 PECOS PAC ID: 4183986516 Enrollment ID: I20180326000226 |
| Provider Name | Jaimie Echternach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932646304 PECOS PAC ID: 3072854553 Enrollment ID: I20190410001233 |
| Provider Name | Daniella V Perla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558923847 PECOS PAC ID: 5698007045 Enrollment ID: I20191104003096 |
| Provider Name | Stephanie A Hylton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841764909 PECOS PAC ID: 2466784863 Enrollment ID: I20191105001570 |
| Provider Name | Karen Burroughs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346701158 PECOS PAC ID: 2365876976 Enrollment ID: I20200107000246 |
| Provider Name | Elizabeth A Connolly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508497512 PECOS PAC ID: 8921437575 Enrollment ID: I20200401003140 |
| Provider Name | Amber Strickler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205439338 PECOS PAC ID: 2365855822 Enrollment ID: I20201231000181 |
| Provider Name | Elizabeth L Ritchie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992300487 PECOS PAC ID: 6103239512 Enrollment ID: I20210104000606 |
| Provider Name | Benita D Bocanegra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962029827 PECOS PAC ID: 6406259613 Enrollment ID: I20210726003060 |
| Provider Name | Ann Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699448282 PECOS PAC ID: 9335543867 Enrollment ID: I20210805002866 |
| Provider Name | Ryan Matthew White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487000923 PECOS PAC ID: 1254675234 Enrollment ID: I20210920002449 |
| Provider Name | Christopher W Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487367280 PECOS PAC ID: 3971977471 Enrollment ID: I20230324000471 |
| Provider Name | Katherine V Bays |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780259978 PECOS PAC ID: 7810349685 Enrollment ID: I20240117001587 |
| Provider Name | Christi Combs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780153296 PECOS PAC ID: 2961854799 Enrollment ID: I20240117003539 |
| Provider Name | Angela Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326011230 PECOS PAC ID: 9931551272 Enrollment ID: I20240123000430 |
| Provider Name | Allison W Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063873511 PECOS PAC ID: 4789036039 Enrollment ID: I20240123000672 |
| Provider Name | Shannon Horton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194486647 PECOS PAC ID: 5799137063 Enrollment ID: I20240123001322 |
| Provider Name | Elizabeth Ferron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659919769 PECOS PAC ID: 1153773353 Enrollment ID: I20240123002377 |
| Provider Name | Mikenley Lundy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528772084 PECOS PAC ID: 1153764014 Enrollment ID: I20240207002304 |
| Provider Name | Lauren Elizabeth Recklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043977713 PECOS PAC ID: 7416390943 Enrollment ID: I20240212001943 |
| Provider Name | Gay C Moffit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023137361 PECOS PAC ID: 7618311713 Enrollment ID: I20240216001572 |
| Provider Name | Catherine Webber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841916434 PECOS PAC ID: 4981048972 Enrollment ID: I20240217000869 |
| Provider Name | Laura Eichenlaub |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972680676 PECOS PAC ID: 0547607749 Enrollment ID: I20240323000489 |
| Provider Name | Hannah Hearl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215678024 PECOS PAC ID: 9537506738 Enrollment ID: I20240323000505 |
| Provider Name | Melissa Georgeff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215668785 PECOS PAC ID: 3173960374 Enrollment ID: I20240323000520 |
| Provider Name | Martha Foy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881061513 PECOS PAC ID: 2365889169 Enrollment ID: I20240327004075 |
| Provider Name | Samantha E Fernatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184301665 PECOS PAC ID: 1456798263 Enrollment ID: I20240327004124 |
| Provider Name | Cameran Norton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225000805 PECOS PAC ID: 9931547619 Enrollment ID: I20240401000383 |
| Provider Name | Ashley L Daigneault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073377453 PECOS PAC ID: 6901244276 Enrollment ID: I20240404004117 |
| Provider Name | Stelsie Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932740628 PECOS PAC ID: 2668810946 Enrollment ID: I20240405000102 |
| Provider Name | Tara Wu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447869052 PECOS PAC ID: 9234578568 Enrollment ID: I20240418002619 |
Clarvida Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5369 Peters Creek Rd Nw, Roanoke, VA 24019 Phone: 540-344-9501 Fax: 540-344-7162 | |
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Anthony O. Wells, Ph.d. Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Albemarle Ave Sw, Roanoke, VA 24016 Phone: 540-818-3379 Fax: 877-285-0379 | |
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Alchemy Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 Grandin Rd Sw Ste 205, Roanoke, VA 24015 Phone: 757-646-7831 | |
Steel River Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 Grandin Rd Sw, Roanoke, VA 24015 Phone: 504-421-5406 | |
Your Life Aba Va, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 Riverland Rd Se, Roanoke, VA 24014 Phone: 866-565-7222 Fax: 877-734-1914 |